Prior-Authorization Technician- Pharmacy

The Gw Medical Faculty Associates • Arlington, VA

335d • $22 - $28

About The Position

The Prior Authorization Technician will process prior authorizations and locate foundation assistance for GW Medical Faculty Associates providers. This position involves working under the direct supervision of a licensed Pharmacist to initiate prior authorizations for medications, confirm patient demographics and insurance information, communicate with the clinical team and patients about prior authorization status, identify patient foundation assistance and manufacturer copay assistance programs, follow up with the pharmacy to ensure medication processing, and handle prior authorization renewals and denials. The technician must maintain courteous interactions with patients and medical personnel and refer issues requiring professional judgment to a pharmacist.

Requirements

• High school diploma or an equivalent combination of education, training, and experience
• A minimum of 2 years of Pharmacy Technician experience in retail, specialty, or mail-order pharmacy and a pharmacy license
• A minimum of 2 years in an alternative healthcare role (i.e. Certified Nurse Assistant, Medical Assistant, Licensed Practical Nurse) will be considered
• Ability to stand, walk, bend, twist, and reach for long periods of time in a clinical setting
• Must be able to occasionally lift or carry and push or pull up to 100 lbs.
• Regularly exposed to healthcare settings that may require personal protective equipment
• Requires manual dexterity to operate a computer keyboard, calculator, copier machine, and other equipment

Responsibilities

• Initiate prior authorizations for medications and work with providers on completion
• Confirm patient demographics are accurate and insurance information is correct
• Communicate with the clinical team and patients about prior authorization status and provide updates accordingly
• Identify patient foundation assistance and manufacturer copay assistance programs
• Follow up with the pharmacy to ensure the medication is in process after approval received
• Process prior authorization renewals
• Work with the provider to resolve prior authorization denials, peer-to-peer reviews, and denials
• Maintain courteous interaction with patients, visitors, departments, and medical personnel
• Refer issues that require professional judgment to a pharmacist for follow-up
• Perform other duties as assigned

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED